• Atencion primaria · Aug 2017

    [Cost-benefit of medical advice for quitting smoking in the Region of Murcia].

    • Angel López-Nicolás, Marta Trapero-Bertran, and Celia Muñoz.
    • Departamento de Economía, Universidad Politécnica de Cartagena, Cartagena, Murcia, España; Centre de Recerca en Economia i Salut (CRES-UPF), Universitat Pompeu Fabra, Barcelona, España.
    • Aten Primaria. 2017 Aug 1; 49 (7): 407416407-416.

    ObjectiveTo perform a cost-benefit analysis of brief medical advice to quit smoking in the Region of Murcia.DesignA cost-benefit analysis is performed on brief medical advice to quit smoking versus non-intervention. A Markov model is used to estimate the costs (€ in 2014), under the perspective of the National Health System, and health outcomes. These are measured in quality-adjusted life years (QALY). The time horizon of the analysis is 20years, and costs and health outcomes were discounted at 3%. A univariate and multivariate deterministic sensitivity analysis is performed.LocationRegion of Murcia.ParticipantsSmokers in the Region of Murcia.InterventionsBrief advice to quit smoking.Key MeasuresQuality Adjusted Life Years (QALYs).ResultsWith a time horizon of 5years (2018), the incremental cost-effectiveness ratio (ICER) would be €172,400 per QALY gained; at 10years (2023) the ICER was €30,300 per QALY gained; and, for the maximum horizon considered by the model, the ICER was €7,260 per QALY gained.ConclusionsBrief advice intervention is more efficient in the long-term than in the short-term and, depending on the Spanish cost-benefit threshold, public funding for this intervention would be recommended.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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